Best Uterine Fibroids Specialist in Mumbai

Uterine fibroids are a prevalent but often misconstrued problem among women of all ages. As a prominent specialist of uterine fibroids in Mumbai, we acknowledge the problems that these benign tumours may cause, ranging from an uncomfortable situation to causing problems in pregnancies.

This guide will examine all that is known regarding fibroids, including what causes them, symptoms they present, and state of the art treatment available as well as discussing how much fibroid surgery costs in Mumbai.

Understanding Uterine Fibroids

Also termed leiomyomas or myomas, uterine fibroids are neoplasms predominantly confined to the inner and outer musculature of the uterus. It encloses smooth muscle and fibrous tissues and the size of uterine fibroids can be quite different from each other; the diameters of the fibroids can range between size of a seed and a grapefruit. Some females tend to have one fibroid only, while in others multiple whilst is possible.

Who Is at Risk for Fibroids?

Fibroids are particularly prevalent in women in their childbearing years, classified as typically ages 30 to 50. Nevertheless, some aspects increase the probability of having fibroids including:

• Familial History: A woman is likely to have fibroids if she has a physically related female in her family who has ever had fibroids.
• Ethinicity: In black women, fibroids are quite common and they occur at an adolescent age when at least 80% of other races have none.
• Progesterone and Estrogen: High amounts of estrogen and progesterone may encourage the development of fibroids.
• Physical Factors: Being overweight, consuming a lot of red meats, and being inactive may play a role in the onset of fibroids.

Types of Uterine Fibroids

Fibroids are further subdivided on the basis of their position in or outside the uterus:

1. Intramural Fibroids: They grow within the muscular wall of the uterus and they are the most frequent types.
2. Submucosal Fibroids: Grow beneath the lining of the uterus and can extend into the uterine cavity, causing heavy menstrual bleeding.
3. Subserosal Fibroids: These fibroids occur at the outer lining of the uterus and may compress the adjacent structures.
4. Pedunculated Fibroids: This type of fibroid is present everywhere within the uterus or outside the uterus and is joined to the uterus by a narrow stalk.

What Causes Fibroids to Develop?

It remains unclear what precisely causes fibroid growth, yet there are several hypothesized contributing factors:

• Hormonal Influences: The menstrual cycle-regulating hormones, estrogen, and progesterone, are known to encourage fibroid development.
• Genetic Factors: Fibroids frequently possess genetic differences in contrast to standard uterine muscle cells.
• Family of Growth Factors: For instance, insulin-like growth factors could assist in the growth of fibroids.

In the postmenopausal years, fibroids tend to diminish in size owing to low levels of hormonal secretions.

Risks of Fibroids During Pregnancy

Fibroids can present numerous hazards in pregnancy, based on their parameters such as size, number, and site, such risks include but not limited to:

• Miscarriage: There is a higher propensity to lose a pregnancy in women with larger fibroids or where the fibroid is located inside the uterine cavity.
• Preterm Labor: Muscles in the uterus may tighten and spread if there are fibroids, causing labor to occur before the expected date.
• Placental Complications: Such growths may affect proper placement of the placenta.
• Delivery Complications: A well-formed and large fibroid may prevent normal vaginal delivery and in most cases a cesarean delivery will be needed.

Symptoms of Fibroids

While some women with fibroids may not have symptoms, some may have:

• Heavy Menstrual Bleeding: Resulting in anemia in some of the advanced cases.
• Pelvic Pain or Pressure: Leading to larger fibroids putting pressure on adjacent organs.
• Frequent Urination: Caused by the pressure exerted to the bladder.
• Pain During Intercourse: Woman’s pain during copulation associated mainly to cervical fibroids.
• Constipation or Bloating: Larger fibroids may press on to the rectal area.
• Infertility or Recurrent Miscarriages: In uncommon situations, fibroids may block conception or carry a baby to term.

How Are Fibroids Diagnosed?

Fibroids can also be diagnosed during pregnancy screening or abdominal ultrasound or CT scan. An imaging procedure where the following are used include:

• Ultrasound: This is used to visualize and take photographs of the uterus and any fibroids present.
• MRI: It is used to find out the size, number, and location of the fibroids.
• Hysteroscopy: This surgical procedure includes the use of a hysteroscope, a thin-tube telescope equipped with a built-in camera aimed at the interior of the uterus for identifying fibroids within the uterus.
• Sonohysterography: It is a procedure that incorporates the use of ultrasound and saline infusion in highlighting submucosal fibroids.

Effective Treatment Options for Fibroids

Treatment depends on the size and number of fibroids and their symptoms as well as on whether the patient wishes to have babies or not currently.

1. Medications

• Hormonal Treatment: Large volumes of liquid can also suppress heavy bleeding but usually are in the form of hormonal tablets or intra-uterine devices.
• Gonadotrophin-releasing hormone (GnRH) Agonist: This class of drugs is effective in ameliorating the size of fibroids by lowering levels of estrogen.
• Tranexamic Acid: This is used to manage excess menstruation bleeding episodes experienced by women during their cycles.

2. Minimally Invasive Procedures

• Uterine Artery Embolization (UAE): Is a technique that induces fibroid shrinkage by occluding its vascular supply.
• Myomectomy: A fibroid removal operation that spares the uterus and is preferable in women who wish to get pregnant.
• Hysteroscopic Surgery: An approach to the surgery of fibroids located in the uterine cavity, using a camera-linked operative device to visually guide the process.

3. Surgical Options

• Laparoscopic Myomectomy: A surgical technique in which the fibroids are excised with the use of small incisions and a laparoscope.
• Hysterectomy: The surgical procedure in which the uterus is entirely removed, primarily advised for cases of severe complaints in women who have no intention of bearing any more children.

Cost of Fibroid Surgery in Mumbai

Factors like the procedure, hospital and doctor's experience can affect the cost of uterine fibroid surgery in Mumbai. On average:

• Myomectomy: Cost ranges from ₹70,000 to ₹1,50,000
• Uterine Artery Embolization: Cost ranges from ₹1,00,000 to ₹2,00,000
• Hysterectomy: Cost ranges from ₹1,50,000 to ₹2,50,000

These prices may include bed charges, surgeon’s expense and all recuperation management. At our clinic, we provide transparent pricing and work with you to find the best treatment option that fits your needs.